Individual provider Active NPI

Alisha Beth Benner, M.D.

  • Internal Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1295759538
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0090-00767 Issued in NC
Practice address
615 Saint George Square CT Ste 300
Winston Salem, NC 27103-1368
Phone
(336) 793-8125
Fax
(855) 737-5542
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 0101262400 VA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 56214 TN
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 078751 GA
Hospitalist Physician 208M00000X 0090-00767 NC
Internal Medicine Physician 207R00000X 0090-00767 NC Primary

Addresses

Primary practice location

615 Saint George Square CT Ste 300
Winston Salem, NC 27103-1368

Mailing address

333 Commerce St
Suite 700
Nashville, TN 37201-1835
Phone (336) 793-8125

Other practice location 1

3024 New Bern Ave
Suite 301 - Hospitalists
Raleigh, NC 27610-1247
Phone (919) 350-7270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061121000286 NC Practitioner - Hospice/Palliative Care 8729018932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
University of Nebraska College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

3400 Wake Forest Rd
Raleigh, NC 27609-7317
Phone (919) 954-3965

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0090-00767NCMDInternal Medicine Physician
078751GAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Internal Medicine Current Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Duke University Health System, Inc. Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Caremore Aspire Primary Care Partners, PC Hospice and Palliative Medicine PastSince Apr 16, 2018 Accepting new patients
Wakemed Faculty Practice Plan Hospitalist Past Accepting new patients
Wakemed Faculty Practice Plan Internal Medicine Past Accepting new patients

Locations

20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

6301 Herndon Rd
Durham, NC 27713
Phone (919) 620-5333

3404 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5400

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

4101 Macon Pond Rd
Raleigh, NC 27607
Phone (919) 781-7070

Interoperability endpoints

  • Direct secure messaging: abenner7135@directhisp.wakemed.org
  • Direct secure messaging: abenner434940@direct.medicine.duke.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295759538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST",
            "address_2": "SUITE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011835",
            "telephone_number": "336-793-8125",
            "fax_number": "855-737-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SAINT GEORGE SQUARE CT STE 300",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031368",
            "telephone_number": "336-793-8125",
            "fax_number": "855-737-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 New Bern Ave",
            "address_2": "Suite 301 - Hospitalists",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101247",
            "country_code": "US",
            "telephone_number": "919-350-7270",
            "fax_number": "919-350-7204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNER",
        "first_name": "ALISHA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101262400",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "56214",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "078751",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "0090-00767",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "0090-00767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.